Stenting of small coronary arteries was long contra-indicated because of a
high rate of subacute occlusion. We report a single-center registry includi
ng 190 patients stented with 2.5 mm balloons. Procedural success was 98% an
d subacute occlusion rate was 2.6%. Clinical follow-up showed a 24.5% repea
t intervention rate.
These results seemed acceptable, warranting stent implantation in small art
eries in the case of acute or threatened closure. New stent designs and coa
tings may contribute to the improvement of outcomes and to the decrease in
subacute occlusion and restenosis rates.